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Individual
AMITH RAO
Active
Individual
AMITH RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036.168198
IL
2085R0204X
Vascular & Interventional Radiology Physician
125.077403
IL
208600000X
Surgery Physician
125077403
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/23/2021
Last updated
11/09/2024
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